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Posted by Vincent Soucy, FCIA, FSA, January 28 2021
News
Bill 31: Changes to Services Provided by Pharmacists

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Further to the recent adoption by the Quebec legislature of Bill 31 amending Quebec drug insurance legislation, pharmacists will be authorized to provide new services that will be fully covered either by private plans or the public drug insurance plan starting January 25, 2021. Interested in learning more about this legislation? Keep reading!

This legislation settles a dispute on the compensation of medical acts dating back to 2015 between Quebec and pharmacists. At the time, the adoption of Bill 28 had authorized pharmacists to perform new professional acts, several of which were however not compensated.

With the changes made under Bill 31, some services provided by pharmacists will now be fully covered under the Quebec drug insurance plan (RAMQ), such as the prescribing of drugs for certain minor conditions.

However, other services will remain the responsibility of private group insurance plans and will have to be covered at 100%, notwithstanding the plan’s co-pay and deductible provisions. For example, members who go to the pharmacy for an extension of a prescription will no longer have to pay a deductible or co-pay amount for such services.
The table below presents a comprehensive list of the services now fully covered by private plans and the services covered by the public plan.

Services Covered at 100%

by Private Plans

Services Covered

by RAMQ

Therapy modification

 

Therapeutic substitution

 

  • Safety or drug shortage
  • Drug withdrawn from the market
  • Problem with drug administration

 

Patient management following hospitalisation (new service)

 

Evaluation for drug extension purposes and extension of a prescription

 

Administration of a drug to demonstrate proper use

Adjusting medication to meet therapeutic goals for certain conditions


Prescription of a drug or initiation of treatment for certain conditions


Emergency drug prescription and administration service


Initiation of emergency oral contraception


Prescription of an antiviral treatment (herpes zoster, influenza)


Palliative care management service


Request a consultation with a pharmacist

Based on the information received so far, these changes should have a minimal impact on health care costs, and we anticipate no rate adjustments. It is important to continue raising member awareness about sound cost management practices in order to control the cost of health plans.

Any questions regarding these new legislative changes? Contact us now!

good-drug-consumer

 

Holding a Bachelor degree in Actuarial Science and a Fellowship with the Canadian Institute of Actuaries, Vincent Soucy worked for the first 10 years of his career in an actuarial consulting firm where he advised national clients on their benefit and retirement plans. He joined AGA in March 2014 and now supervises the consulting, underwriting and actuarial teams.
Vincent Soucy, FCIA, FSA